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We have no desire to prevent doctors from prescribing specified care, or authorizing specific treatments for patients that simply cannot find any more compassionate or effective means.
For CVD care, individual indicator achievements ranged from 82.6% (CVD10) to 99.0% (CVD11) with 64.0% of patients receiving all specified care.
We decided to code 'exception reported' indicators as if they had been met - in other words that the specified care was 'delivered' to patients.
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This approach is comparable to The Netherlands where relocation of procedures as basic step toward centralization has been successfully fostered by specifying care structures and by cooperation in regional quality associations [ 31– 31].
Such guidelines may well help to improve care, because they specify optimal care for care providers and allow adherence to be monitored.
The three patient groups did not differ very much regarding their trust in health care, medical possibilities, and trust in specified health care providers (see Table 3).
The purpose of this article is to explore the need for the possibility to reconstruct electronic medical data, in particular the electronic health record (EHR) as they have been or could have been presented to a specified health care professional at a specified moment in the past.
Item-by-item (each process of care indicator: percentage of patients having received it), composite (mean percentage of recommended care: sum of received processes of care / sum of possible recommended care), and all-or-none (percentage of patients receiving all specified recommended care) measures were computed.
And those patients who specified all care possible were far more likely to receive aggressive care than those who did not request it.
Written advance directives formalize these preferences and include living wills and designation of durable powers of attorney for health care, that specify health care proxies.
Working in small groups, participants then specified the care services needed to divert those case types considered least appropriate for inpatient admission from hospital care (the 'marginal case types').
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com